92-100545CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
92-0556
OT SHERWOOD FOREST ELEMENTARY SCHO%'E 34600 12TH AVE SW
PERMIT NO.
OWNER'S NAME
ADDRESS
CONTRACTOR PACIFIC
MOBILE STRUCTUPAPESTNC P O BOX 1404
CHEHALIS WA 98532 CONT. PHO&206) 1800-225-653
PACILFS097DO 941-0100
31405 18TH AVE S FEDERAL WAY
CONT. REG. NO.
EXP.2/93 OWNER'S PHONE
OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
PORTABLES P1 AND P2 (PORTABLE P3 #92-560 O
TAX ACCOUNT NO.
192104-9030-05 LEGAL DESCRIPTION
SEE ATTACHED
ISSUED BY JOANNE JOHNSON DATE OF ISSUE
DATE OF APPLICATION 4-7-92
BUILDING INFORMATION
RS 7.2
50, 50,
50, 301
ZONE
SET BACKS: FRONT SIDE
REAR HEIGHT LIMIT
E2
VN
A 9 6X2 - 17 9 2STORIES
OCCUPANCY __
TYPE OF CONSTRUCTION CENSUS NO. - TYPE
OF HEAT BLDG. SQ.
PLUMBING NO.
NO.
MECHANICAL APPLIANCES
AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT.
GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE
DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR.
AIR HANDLING UNIT _
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
RETURNED
SINKS
MISC.
BBQ
BASIC FEE
DISHWASHERS
_ TOTAL FIXTURES
DRYER
TOTAL MECHANICAL
AMOUNT
PLANNING DEPT APPROVAL:
SITE PLAN APPROVAL #SPR -92-0005 ATTACHED
7,884.80
VALUATION
CONDITIONS #1 & #2 HAVE BEEN MET. BK 4-10-9
99.00
PERMIT FEE
64.00
PUBLIC WORKS DEPT APPROVAL:
DOWNSPOUTS SHALL BE CONNTECTED TO APPROVED
PLAN CHECK FEE
ON—SITE STORM SYSTEM DIRECTING RUNOFF TO
PLUMBING FEE
EXISTING DETENTION SYSTEM.
MECHANICAL FEE
FIRE DEPT APPROVAL: 4-13-92
PK BUILDING DEPT APPROVAL: 4-15-92 KC
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
35-00
S.B.C.C. FEE
4-50
FIRE FEE
4.95
DATE:
$207.45
OTHER FEES
207.45
AMOUNT:
AMOUNT DUE
RECEIPT:
�
f
1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
SE MET.
�-
OWNER OR AGENT
------
DATE t 7
X)1 OID3) y
r)
r P/ q P- armit # /� 5' CS T" AW
RECEIVED 1�6C5 Y OF FEDERAL WAY
APR 0 7 1992 BUILDING PERMIT APPLICATION
F:"*ML WAY — Please Print —
BOX 1 TENANT NAME: �j4�(Z rp S7— �� ,g ,V 4� Sc:f-iib l�
OWNER L Ca 16 SITE LOCATION 1 2 y Vi✓
OWNER'S ADDRESS 3140 d� Vfj. S CITY RDS PHONE 941-0100
DESCRIBE JOB Pha&g Pori✓ab/e5 -- bvilyj -P'ovnclz,Eran, IZe-Ines And 5-rPrIP_S
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
uu. t- -A-,, k?c Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON GAL.V)P AAS&IU41 PHONE % /4737
BOX 4 SEWER DISTRICT re DO-P_4L We 1AiA-0M �- Sewor WATER DISTRICT r&1)eeAj- W&- Warr . 4- S��r
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 19210 05C-06
LEGAL DESCRIPTION Gear rrA-eG Akp
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / i '7q Z 2ND FLOOR /
3RD FLOOR / BASEMENT DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
Il •
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
_DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
_TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
NO.�FiJRNACE, fLCC-- -&AS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT'PUMPS, SIZE
$
UNIT EATERS
$
AIR CO LING UNITS, SIZE
$
COM ME C I A LHOOD
$
OTHER
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON TIS ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
Z -I-Z..
ANP -008 3/90
0 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE RST,�SETBACKS: FRONT D' SIDE 50r REAR C�O r HEIGHT LIMIT ;30
PLANNING DEPARTMENT APPROVAL !I -ko - 1� Z - g�:_ +'r C ;<
REMARKS: StiE PLAt-) A"h-)u$,. # Sef - 12-- (900 S I ,
SEPA: EXEMPT7� NOT EXEMPT
PUBLIC WORKS DEPARTMENT APPROVAL 2 f_ DATE
REMARKS: CvaNJ))0v71 ' /14- t, d6 CoyNCCrl!np is AVPdtayir n Cr -S(TC-
4zma_n sysaIl 2uNof=j' is f-;r_fSn/yc o sc?.uaafy SYsai-)
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT_t NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCU ANCY F Z TYPE OF CONSTRUCTION V AJ STORES
BUILDING SQ. FT.
@
PERMIT FEE
<< BUILDING SQ. FT.
g Q 6 @
f% 0
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
*@
_
BUILDING SQ. FT.
@
_ _
d0 e-�
q.s O
- 0-86
BUILDING SQ. FT.
@
AMOUNT DUE
TOTAL SQ. FT.
TOTAL VALUATION
7 SS%` S
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: Sed. %-(Kq
Amount
BY
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL O
DATE L (5 l Z
ACCEPTED FOR FILING
qf
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
REVIEW
/S�EPA
1- W1
3S-- c O
q.s O
S.B.C.C. FEE
OTHER FEES tee --
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL O
DATE L (5 l Z
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME
SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE
OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE
DATE OF APPLICATION
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE
REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE
OF HEAT BLDG. SO. FT.__ STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES
AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT.
GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE
DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR.
AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
RETURNED
SINKS
MISC.
BBQ
BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER
TOTAL MECHANICAL
AMOUNT
VALUATION
J13LIC sK)RKq DT:Twi 1' PP OVA!.;
M j,DATTIMNS' 42 L j JI:
DIIIIANSPOUTS SRALL BF C01k.v "ZTF:!: '' h
<t
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
EXISTING G DEPTEE ;.
MECHANICAL FEE
.R-' DEPT APPROVAIN: 4-13-92
iiR BQX.. y
PART P/CANI FEE,
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
D
AMOUNT DUE
RECEIPT:
pill
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY
BE MET.
KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS W`rI L
Ll
OWNER OR AGENTDATE
lyeJu
i
SET BACKS AND FOOTINGS
DATE _........ ...—_ BY
OX TO POUR FOUNDATION WALLS
DATE —..... BY _......_____
PLUMBING GROUNDWORK
DATE _ __.... —_ __BY
PLUMBING ROUGH IN
DATE-- __ BY
WATER LINE O.K. _ -
GAS PIPING O.K. _... _ ___.....
MECHANICAL INSPECTION
DATE _
O.K. TO ENCLOSE FRAMING
DATE _. ____BY
INSULATION
DATE BY —__.
WALL BOARD AND FIRE WALL
DATE _ .BY
FINAL O.K. TO OCCUPY
DCD
PSD
FD
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